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["附件2"]
["考试人员健康管理信息采集表"]
[]
["     情形","健康排查（流行病学史筛查）"]
[]
[null,"21 天内国内",null,null,"居住社区","属于下面哪种情形","是否解除医"]
[{"$nulls":3},"28 天内境外",{"$nulls":3},"核酸检测"]
[null,"中、高风险等疫",null,null,"21 天内","①确诊病例","学隔离观察"]
[{"$nulls":3},"旅居地",{"$nulls":3},"①阳性"]
[null,"情重点地区旅居地",null,null,"发生疫情","②无症状感染者","①是"]
[" 姓名",null,null,"（国家地",{"$nulls":3},"②阴性"]
[null,"（县（市、区））",null,null,"①是","③密切接触者","②否"]
[{"$nulls":3},"区）",{"$nulls":3},"③不需要"]
[{"$nulls":4},"②否","④以上都不是","③不属于"]
[]
[]
["健康监测（自考前 14 天起）"]
[]
["天数","监测日期","健康码","早体温","晚体温","是否有以下症状","如出现以上所列症状，"]
[{"$nulls":5},"①发热②乏力"]
[null,null,"①红码",null,null,"③咳嗽或打喷嚏","是否排除疑似传染病"]
[{"$nulls":4},"晚体温","④咽痛⑤腹泻"]
[null,null,"②黄码",null,null,"⑥呕吐⑦黄疸","①是"]
[{"$nulls":5},"⑧皮疹"]
[null,null,"③绿码",null,null,"⑨结膜充血","②否"]
[{"$nulls":5},"⑩都没有"]
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["考试当天"]
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["本人承诺：以上信息属实，如有虚报、瞒报，愿承担责任及后果。"]
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["签字：","                          联系电话：",null,null,"联系电话："]